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Medical Assessment Rybelsus

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Medical Assessment Rybelsus

Medical Assessment Rybelsus

Online medical consultation will be reviewed by a medical professional, who will determine if it’s safe to prescribe.

Your Full Name(Required)

Complete Address(Required)

Phone Number(Required)

Email Address(Required)

Do you agree and consent to the following?(Required)

I am over 18 years old and live in the UK.

I will be the sole user of any medication offered to me through this service.hoice

I confirm all answers are provided by me, and are completely truthful.

Yes

No

Are you pregnant or breast feeding or intending to become pregnant or start breast feeding whilst taking medication?(Required)

Yes

No

What are your main reasons for wanting to lose weight?(Required)

Is this your first time using Rybelsus for weight loss? Please be aware the initiation dose for Rybelsus is 3mg.(Required)

What is your gender?(Required)

Male

Female

What is your weight - we need this to make sure the medication is suitable for you to take without issues?(Required)

What is your height - we need this to make sure the medication is suitable for you to take without issues?(Required)

What is your BMI? (If your BMI is under 30 we cannot supply this item)(Required)

If you don't know your BMI click here to calculate.

Do you have a goal weight you would like to achieve?(Required)

How long have you struggled with your weight?(Required)

What have you tried in the past to lose weight?(Required)

What challenges have you faced with exercise or trying to be more active?(Required)

What challenges have you faced when changing your eating habits?(Required)

What challenges have you faced when trying to stay on track with your weight loss?(Required)

Do you suffer from any of the following?(Required)

Liver, kidney or heart failure

Pancreatitis

Multiple endocrine neoplasia type 2

Cancer

Type 1 diabetes or diabetic retinopathy

Personal or family history of medullary thyroid cancer

History of an eating disorder (e.g., anorexia, bulimia)

History of gallbladder problems

History of Inflammatory bowel disease or gastroparesis

History of Bariatric Surgery

Yes

No

Do you suffer from any of these medical conditions?(Required)

Type 2 diabetes

High blood pressure

High cholesterol

Erectile dysfunction

Sleep apnoea

Asthma

Gallbladder disease

Osteoarthritis

Chronic back pain

Depression

PCOS

Fatty liver disease

Chronic malabsorption syndrome

Yes

No

Are you taking any of the following medications?(Required)

Insulin

Sulfonylureas e.g., gliclazide

GLP-1 receptor agonists e.g., Victoza, Saxenda

Yes

No

Are you taking any other medications?(Required)

Do you have any allergies?(Required)

Yes

No

(e.g. Saxenda, Rybelsus or Ozempic)

Do you consent for us to inform your GP about your use of our service?(Required)

Yes - Please inform my GP

No - I will inform my GP myself

Please enter your date of birth.(Required)

MM slash DD slash YYYY

Based on your answers, we will need to have a consultation with you before we issue the medicine. Please click the submit button below to provide your details below so that we can get in touch. The consultation is free.

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Weight loss solutions, provided by licensed UK professionals.

Links

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About Us
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Products

ozempic
wegovy
rybelsus

Contact Info

Monday - Saturday: 9:00 - 19:00
info@nutriates.com
+447762042665
Salus pharmacy, 42 Liberty Bridge Road , London, United Kingdom

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